ENT Updates

Clinical Research

Complications of transoral endonasal-controlled combined endoscopic adenoidectomy

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https://doi.org/10.32448/entupdates.798459
Engin Muz, S., & Huntürk Atilla, M. (2020). Complications of transoral endonasal-controlled combined endoscopic adenoidectomy. ENT Updates, 10(3). https://doi.org/10.32448/entupdates.798459
Volume 10 Issue 3 (2020)
Copyright (c) 2020 Sami Engin Muz, Mahmut Huntürk Atilla
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This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors

  • Sami Engin Muz Department of Otolaryngology, Ankara Training and Research Hospital, Ankara, Türkiye
  • Mahmut Huntürk Atilla
    Department of Otolaryngology, Yenimahalle Training and Research Hospital, Yıldırım Beyazıt University, Ankara, Türkiye

Objective: The purpose of this study was to observe and evaluate the possible complications of Transoral Endonasal-Controlled Combined Endoscopic Adenoidectomy (TECCA) as a subtype of power-assisted endoscopic adenoidectomy (PAEA) in pediatric patients.

Methods: Sixty-seven children aged between 2 and 12 years who had been diagnosed with adenoid hypertrophy and underwent TECCA from April 2013 to December 2016 as a single procedure (without myringotomy or any kind of tonsil surgery at the same time) were included. Preoperative risk assessment results and intraoperative and post-operative complications were evaluated.

Results: Intraoperative and early post-operative bleeding was observed in four (5.97%) patients. There was no post-operative complication except for bleeding and no patients were found to have residual adenoid tissue during the six-month post-operative follow-up period.

Conclusion: Endonasal endoscopic control during adenoidectomy helps to identify vascular structures that would normally be at risk of being injured with blind resection. Endoscopic viewing also enables complete removal of intranasal adenoid tissue without significant prolongation in operation time.

Keywords:

Adenoidectomy endoscopy complications